||DEPARTMENT OF WISCONSIN|
|MARINE CORPS LEAGUE|
|2008 APPLICATION FOR
Must by typed or printed legibly; See Tim for new Application.
Please check one: NEW RENEWAL Date:
Name: Last First Mi
Address: City State Zip
Telephone: Area Code Prefix Suffix
Name of High School:
Name of College
Your starting Fall Semester (Quarter): 1 2 3 4 (check one)
This part is to be completed, verified and signed by the indicated Detachment or Unit Office. In the event that the applicant is related to the indicated Officer, the Senior Vice Commandant or vice President will sign in their stead.
Relationship to Applicant, Check one: Father Mother
Sponsors Name: Last First Mi
Membership # PLM # Dues Date
DETACHMENT OR AUXILIARY UNIT CERTIFICATION (Must be signed)
The paymaster listed below certifies the member / sponsor is in good standing.
Paymaster Signature Date
I, the Commandant / President (or Designee) of Detachment or Unit certify that the member listed above is qualified to sponsor for a Marine Corps League Department of Wisconsin Scholarship
Print Name of Commandant or Unit President or Designee:
Signature of Commandant or Unit President or Designee:
Detachment or Auxiliary Unit Name:
Detachment or auxiliary Unit Address: